owenblacker + from:poz.com   28

How Well Do U=U and PrEP Work? The CDC Updates Its Answers
The federal agency tasked with protecting and promoting our country’s health wants you to know that U=U is 100% effective at preventing HIV transmission and that PrEP reduces the risk of acquiring the virus by 99% in men who have sex with men (MSM). 

That’s according to updated data from the Centers for Disease Control and Prevention (CDC) on its website. Specifically, the numbers are found on a page titled “Effectiveness of Prevention Strategies to Reduce the Risk of Acquiring or Transmitting HIV,” which was updated July 18. The page also includes risk data on male condoms and male circumcision.
by:TrentonStraube  from:Poz.com  HIV/AIDS  CDC  health 
7 weeks ago by owenblacker
The Truth About the 7,000
Antron became one of the nearly 7,000 HIV-positive people who die of causes directly attributable to the virus every year in the United States. It’s a stunning number to reconcile in this day and age, and its effects multiply many times over when you include the grieving families and confused friends and frustrated clinicians. Each one of those 7,000 people represents a life that wasn’t supposed to end, at least not to incredulous onlookers who don’t understand how or why anyone with HIV could die anymore.
by:MarkSKing  from:Poz.com  geo:UnitedStates  healthcare  hiv/aids 
april 2018 by owenblacker
Jeff Sessions Declares War on Drugs and Drug Users
Among those responding was former Attorney General Holder who was highly critical of the memo, who said that, “The policy announced today is not tough on crime. It is dumb on crime. It is an ideologically motivated, cookie-cutter approach that has only been proven to generate unfairly long sentences that are often applied indiscriminately and do little to achieve long-term public safety.”

Advocates are noticing a reemergence of the War on Drugs that also includes the American Health Care Act (AHCA). … The AHCA would take billions of dollars away from mental health and substance use treatment programs, jeopardize access to treatment for 1.3 million Americans who receive care through Medicaid, and any one with health insurance in states that chose to opt out of ACA-era Essential Health Benefits. President Trump’s promise to end the opioid epidemic cannot be fulfilled if he endorses legislation that change Medicaid as we know and cut federal funding to the program by about $880 billion over 10 years.
¶¶
Historically, the war on drugs has disproportionately affected people of color, particularly Black Americans. Similarly, the HIV epidemic in the United States disproportionately affects people of color, including many of the Black Americans who are unjustly targeted and imprisoned in the war on drugs. Given the recidivism, poverty, and social ostracism that often accompanies incarceration and the fact that incarcerated populations have rates of HIV infection more than 5 times that of the general populous, along with the lack of testing and prevention programs in many prisons, this could result in a sizable spike in HIV transmission.
by:AidsUnited  from:Poz.com  hiv/aids  healthcare  politics  geo:UnitedStates  DonaldTrump  JeffSessions  stupid  MentalHealth  narcotics 
may 2017 by owenblacker
HIV-positive smokers who quit cut their risk of numerous cancers
The researchers found that for about the first year or so after quitting cigarettes, the participants’ risk of smoking-related cancers, save for lung cancer, fell dramatically and after that hit a level comparable to that of nonsmoking people with HIV. This drop in risk was unaffected by participants’ age, CD4 count or sex.

With regard to lung cancer, after the researchers adjusted the data for various factors, they found that the risk remained 8.26-fold higher for ex-smokers for as long as five years after they quit cigarettes compared with HIV-positive never smokers. HIV-negative smokers, on the other hand, start to realize a decline in risk of lung cancer within five years of quitting.
cancer  hiv/aids  from:Poz.com  health 
march 2017 by owenblacker
Meet the Man Who Got HIV While on Daily PrEP
PrEP researchers, like most scientists, rarely speak in absolutes and guarantees; they’ve acknowledged that, under rare circumstances, an infection is feasible. Last week, that hypothetical situation became a known reality. ¶¶ In Knox’s presentation, his patient remained anonymous, but many of us in the PrEP and HIV communities had followed his seroconversion story in real time as he posted about it last May in the Facebook group PrEP Facts: Rethinking HIV Prevention and Sex, in which he was an active member. Since then, Joe—as he prefers to be called here—dropped off the discussion boards. I had kept his information and interviewed him earlier this year for a potential POZ feature. ¶¶ We spoke again after his doctor’s CROI presentation, which resulted in Joe’s PrEP failure making international headlines. The following interview is compiled from our conversations and has been edited for length and clarity.
PrEP  HIV/AIDS  geo:Canada  by:TrentonStraube  barebacking  from:Poz.com 
march 2016 by owenblacker
After 2½ years, no-one in large SF PrEP group contracts HIV
Two and a half years into a large Truvada as PrEP program in San Francisco, none of the more than 600 men-who-have-sex-with-men taking the HIV prevention medication have contracted the virus. At the same time, many of these individuals are using condoms less since starting PrEP, and during their first year on Truvada, half of them had contracted at least 1 sexually transmitted infection. Those at higher risk of the virus were more likely to opt to start PrEP after their initial consultation. ¶ Researchers at Kaiser Permanente published their findings in Clinical Infectious Diseases. The paper represents a powerful endorsement of PrEP’s ability, in a real-world setting, to prevent HIV infection among those at very high risk of contracting the virus. ¶¶ On the flip side, the Kaiser findings challenge the received wisdom from PrEP clinical trials that those taking Truvada as HIV prevention do not increase sexual risk-taking while on the medication.
by:BenjaminRyan  from:Poz.com  PrEP  geo:SanFrancisco  KaiserPermanente 
october 2015 by owenblacker
$17.5M HIV Grant Aims to Create PrEP Implants That Last a Year
A group of 15 researchers and clinical investigators at Northwestern University received a $17.5 million grant to develop an implant capable of delivering meds that protect against HIV, according to a press release from the McCormick School of Engineering. The hope is that the implants would last for up to a year. ¶ The five-year project is underwritten by the National Institute of Allergy and Infectious Diseases, which is part of the National Institutes of Health. It brings together researchers from 15 different departments at Northwestern, including Feinberg School of Medicine, Kellogg School of Management and McCormick School of Engineering.
PrEP  HIV/AIDS  from:Poz.com 
september 2015 by owenblacker
Surviving Life Itself - by Mark S. King
Interesting reflection on his life as a long-term survivor of HIV by Mark S King.
by:MarkSKing  HIV/AIDS  from:Poz.com  culture  LGBTQ 
may 2015 by owenblacker
What 'Looking' Gets Dangerously Wrong About AIDS Panic and HIV Testing
Patrick was in the window period when he got tested. As an educated, neurotic, gay guy living in San Francisco—a city famous for its cutting-edge HIV treatment and prevention—Patrick would surely know all of this. He would also be aware of the Alere Determine, a new HIV rapid test that looks not only for antibodies to HIV but also for an HIV protein called the p24 antigen. The Alere test can identify HIV as soon as three weeks after infection. All of this vital information could easily be flowed into the dialogue without becoming an After School Special. For example, if the writers wanted to play to Patrick's neurotic tendencies, they could have had him hassle the tester about being sure he was getting the Alere test and not an older model. Or Patrick could obsess over data showing that as much as 60% of HIV-positive gay men contract the virus from boyfriends, not one-night stands.
by:TrentonStraube  Looking  HIV/AIDS  journalism  from:Poz.com 
march 2015 by owenblacker
More Evidence That Circumcision Is Lowering African HIV Rates
It's interesting that, as the US (and to a lesser extent the UK) is becoming increasingly anti-circumcision, the process is causing great changes in sub-Saharan Africa. The circumstances are *very* different, of course, not least that, in Africa, circumcision is performed on adults who are voluntarily requesting it to reduce the likelihood of female-to-male HIV transmission in countries of great prevalence. ¶ Research from the mid-2000s found that circumcision lowers the risk of female-to-male HIV transmission by over half — and "for each 10% increase in circumcision coverage, there was a 12% drop in the rate of new cases of HIV among the men." Disappointingly, "there was no evidence that [circumcision] had led to a drop in HIV incidence among women."
circumcision  HIV/AIDS  from:Poz.com  geo:Africa  from:CROI 
march 2015 by owenblacker
Only 1 Confirmed Case of Occupational HIV Acquisition Since 1999
Only a single health care worker was confirmed to have acquired HIV on the job between 2000 and 2013, according to the Centers for Disease Control and Prevention (CDC). The CDC published statistics in the January 9 edition of the Morbidity and Mortality Weekly Report about possible and confirmed cases of HIV acquisition among health care workers between 1985 and 2013.
HIV/AIDS  by:CDC  from:Poz.com 
january 2015 by owenblacker
HBO's 'Looking' Now Stars a Bear With a 'House in Virginia'
All was answered in a scene the next morning, when Agustin replayed the night's shenanigans to his friends, saying that Eddie is "a big bear who cares about trans people and has a house in Virginia." When a friend asked about the house, it's explained that the phrase is slang for being HIV positive. And then something miraculous happened: No one freaked out! All the characters took the information in stride and then conversation about the party continued. I found that refreshing, especially in light of news that Eddie will be a recurring character, as will issues of HIV.
by:TrentonStraube  HIV/AIDS  Looking  journalism  interesting  from:Poz.com 
january 2015 by owenblacker
An Amy Poehler Motto for Slut-Shamers and Truvada Whores
I wish everyone would study this motto and its underlying message. I wish we all would realize that the entire world doesn't have to conform our own way of life. Why not respect other people's decisions and leave it at that? Imagine how the dialogue around PrEP would change if we all employed this outlook. Let's practice: You want to go on PrEP to lower your HIV risk? Good for you, not for me. You want to use a condom every time you have sex? Good for you, not for me. You want to be a good Mormon by overcoming your gay desire and staying married to your wife? Are you freakin' crazy? Do you know how damaging that ex-gay crap is!! What the hell are you thinking?
PrEP  homosexuality  HIV/AIDS  funny  AmyPoehler  by:TrentonStraube  from:Poz.com  barebacking 
january 2015 by owenblacker
The CDC Dives Into the Great American Circumcision Debate
The Centers for Disease Control and Prevention (CDC) is weighing whether to make its first-ever recommendations on the sensitive and divisive subject of male circumcision. On December 2, the federal agency issued a draft proposal that, if put into effect, would advise clinicians to counsel men, boys and expectant parents that removing the penis’s foreskin reduces the risk of female-to-male transmission of HIV and other sexually transmitted infections (STIs), as well as a number of other health problems.
by:BenjaminRyan  from:Poz.com  circumcision  HIV/AIDS  epidemiology  geo:UnitedStates  geo:Kenya  interesting 
january 2015 by owenblacker
Pedro Leaves Us Breathless - by Hal Rubenstein
How a nice Cuban boy from the suburbs of Miami becomes a nationally respected AIDS activist, gets on MTV's muy hot true-life soap, The Real World and winds up America's summer heartthrob
PedroZamora  date:1994  HIV/AIDS  from:Poz.com  interesting  interview  ChildAbuse  geo:UnitedStates  MTV  by:HalRubenstein 
november 2014 by owenblacker
Major Study Supports Benefits of Beginning HIV Therapy Early
A total of 57 participants (6%) who started treatment early and 77 (9%) who delayed treatment experienced one or more primary outcomes: death, AIDS diagnosis, tuberculosis, severe bacterial infection, cardiovascular disease, serious liver or kidney disease, non-AIDS cancers or diabetes. The cumulative 2-year probability of such an outcome was 4.8% for the early treatment group, compared with 7.9% for the delayed treatment cohort. Although there was a 27% reduced risk of a primary outcome among those who started early, this difference was not statistically significant. 5% of those in the early treatment group were diagnosed with an AIDS-defining event, compared with 7% among those who delayed treatment. The cumulative 2-year probability of an AIDS diagnosis was 3.3% in the group that started ARVs early and 6% in those who delayed. Starting treatment early lowered the risk of an AIDS-defining illness by 36%, a difference that is statistically significant.
HIV/AIDS  from:Poz.com  interesting  from delicious
august 2014 by owenblacker
100% Efficacy for Gays Who Adhered in PrEP Study; Most Didn’t
Men and transgender women who have sex with men who took Truvada (tenofovir/emtricitabine) as pre-exposure prophylaxis (PrEP) four or more days a week were 100 percent protected against HIV in a recent study. However, participants actually took Truvada that frequently just 33 percent of the time during the 72-week trial, and overall adherence declined throughout the study. Daily adherence to Truvada was detected just 12 percent of the time. When considering all participants who received Truvada, regardless of their adherence, the study showed that PrEP lowered the risk of acquiring HIV by about half.
PrEP  HIV/AIDS  from:Poz.com  by:BenjaminRyan  from delicious
august 2014 by owenblacker
Remembering the Original AZT Trial — Joseph Sonnabend, MD
Today, I'm going back 24 years to recall — with the help of a few contemporary documents — a significant event in the history of the HIV/AIDS epidemic.  This was the introduction of AZT, the first drug to be approved for the treatment of HIV infection. This is not so much about AZT as it is about the trial that led to its approval and how it made me aware that even if we then had no lifesaving treatments there was much we were able to do for our patients. I'm certainly not writing a history of the introduction of AZT. This is just the personal account of a doctor treating HIV infected individuals at the time, who was unable to recommend AZT for his patients at least not at the huge dose then suggested by authorities who had taken on the medical leadership of the epidemic.
by:JosephSonnabend  HIV/AIDS  AZT  medicine  from:Poz.com  QueerHistory  from delicious
july 2014 by owenblacker
The WHO's unwise recommendation for gay men
Dr Sonnabend doesn't agree with the WHO's PrEP recommendation, but does say: "On an individual basis PrEP use can be a completely appropriate intervention. For example, using PrEP because of an inability to maintain an erection with a condom is absolutely appropriate, and is a very welcome intervention to enable a fuller sexual expression in what is probably a large number of men whose difficulty with condoms, for whatever reason stand in the way of satisfactory sex."
HIV/AIDS  PrEP  WorldHealthOrganisation  by:JosephSonnabend  from:Poz.com  from delicious
july 2014 by owenblacker
Clinicians Can Raise PrEP Uptake Among Gay and Bisexual Men
Gay and bisexual men are very receptive to using Truvada (tenofovir/emtricitabine) as pre-exposure prophylaxis (PrEP) when it’s offered in a health care setting and is part of a component of a comprehensive HIV prevention program, Medscape reports. Albert Liu, MD, MPH, of Bridge HIV at the San Francisco Department of Public Health, presented findings from the PrEP Demonstration Project at the 9th International Conference on HIV Treatment and Prevention Adherence in Miami.
HIV/AIDS  PrEP  from:Poz.com  from delicious
june 2014 by owenblacker
Hepatitis C Transmits Sexually in HIV-Positive Gay Men - by Benjamin Ryan
This silent epidemic has largely traveled under the radar, seriously endangering the health of HIV-positive gay men and raising the question of just how safe serosorting really is.
HIV/AIDS  hepatitis  by:BenjaminRyan  from:Poz.com  serosorting  geo:NewYork  from delicious
june 2014 by owenblacker
April/May #195 : Against All Odds
As for anal sex, the most risky sex act in terms of HIV transmission, if an HIV-negative top—the insertive partner—and an HIV-positive bottom have unprotected sex, the chances of the top contracting the virus from a single encounter are 1 in 909 (or 0.11 percent) if he’s circumcised and 1 in 161 (or 0.62 percent) if he’s uncircumcised. And if an HIV-negative person bottoms for an HIV-positive top who doesn’t use any protection but does ejaculate inside, the chances of HIV transmission are, on average, less than 2 percent. Specifically, it is 1.43 percent, or 1 out of 70. If the guy pulls out before ejaculation, then the odds are 1 out of 154.
HIV/AIDS  reference  statistics  from:Poz.com  by:TrentonStraube 
april 2014 by owenblacker
Hot & Bothered
Jahlove Serrano contracted HIV the very first time he had sex. Just shy of 16, he was no stranger to the risks of unprotected intercourse at that age; he just didn’t think such warnings applied to a young gay man such as himself, thanks to a less-than-inclusive sexual education class he’d sat through in his Manhattan public high school the previous year.

“It was just so heterosexual that I had a turned-off ear to it,” he recalls of the class.

Today, at 27 years old, Serrano has come full circle. For the past four years, he has served on the speakers bureau of Love Heals, a New York City nonprofit that sends an army of HIV-positive, health-promoting foot soldiers into the area’s public schools to teach HIV prevention and to make up for what continues to be a critical educational deficit in school districts across the country.

After spending many years harboring anger toward a school system that failed him, Serrano now says, “I’m happy that I’m correcting some wrong that’s been done to me.” And yet, reflecting on the sex ed—or lack thereof—that schools are offering the kids he interacts with these days, he says, “It’s upsetting that the curriculum is still not even up to par and that it also doesn’t include the LGBTQ community.”
HIV/AIDS  SexEducation  SexualHealth  education  from:Poz.com  geo:UnitedStates  from delicious
april 2014 by owenblacker
The Fury of the PrEP Debate and Facts to Win It - Mark S. King
"We don't know the side effects of this drug. It's too expensive. Insurance won't cover it. It hasn't been studied enough. It will encourage slutty behavior. And why the hell don't people just use condoms?"  - Objections raised to the oral contraceptive progesterone ("The Pill"), approved by the FDA 54 years ago.
HIV/AIDS  PrEP  by:MarkSKing  from:Poz.com 
january 2014 by owenblacker
Red States Say No to Medicaid Expansion - by Benjamin Ryan
Regardless of the outcome of the troubled Obamacare rollout, a key uninsured population will remain out in the cold: the very poor living in Republican-dominated states. At press time, 25 states, largely controlled by GOP governors, had exercised their U.S. Supreme Court–validated right to opt out of the health care law’s expansion of Medicaid coverage. The Deep South has proved uniformly stubborn in its refusal to expand Medicaid, a fact that is particularly troubling to HIV advocates such as Killelea, considering the disproportionate impact of the epidemic in that region.
Republicans  geo:UnitedStates  Medicaid  Obamacare  from:Poz.com  from delicious
january 2014 by owenblacker
GMHC: How to beat an outbreak (PDF)
An insight into NYC GMHC's vaccination efforts following a recent outbreak of meningococcal meningitis in the gay community.
epidemiology  from:Poz.com  interesting  LGBTQ  from delicious
november 2013 by owenblacker

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